Cody Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1152858 Issued in TX

Practice address

820 S Alma Dr Ste 100
Allen, TX 75013-3809

Phone

(214) 383-2641

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Johnson Athletic AdvantageGroup PAC ID 7214181981, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnson Athletic Advantage

  • Physical Therapy Clinic/Center
  • Allen, TX
  • NPI 1194089219
  Medicare reassignment Care Compare group Authorized official
• Rider Athletic Advantage

  • Physical Therapy Clinic/Center
  • Allen, TX
  • NPI 1538498845
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154464709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15625 QUORUM DR APT 3111",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016638",
            "telephone_number": "214-383-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S ALMA DR STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133809",
            "telephone_number": "214-383-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CODY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1152858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Sara John, APRN
• Shari John
• Johnson Athletic Advantage
• Alec Johnson
• Andrea Michelle Johnson, M.ED., LPC
• Damilola Johnson, DDS
• Dorian Sherrod Johnson, OTA
• Emery Johnson, R.PH.
• Erin Johnson, L.M.T.
• Jonathan Todd Johnson, M.D.

• Physical Therapist in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.